Use of languages
No Some groups entirely in Spanish:
No Some groups entirely in Catalan:
No Some groups entirely in English:
spanish (spa) Principal working language:
Contact
[email protected] Email:
Beatriz Hernández Méndez Name:
2017/2018 Physiotherapeutic Evaluation and Diagnosis in
Neurology
Code: 102997 ECTS Credits: 6
Degree Type Year Semester
2500892 Physiotherapy OT 4 0
Teachers
Laura Arevalo Barrios
External teachers
Álvaro Pérez Muñoz Gemma Puigfel Dalmau Núria Raguer Sanz Roberta Ghedina
Prerequisites
It is recommended having acquired the skills and aims given on the subjects: Physiotherapy in Neurology I and II.
Objectives and Contextualisation
To deepen the knowledge and training of skills related to daily clinical assessment and diagnosis in neurology physiotherapy, being able to:
Assess major sensory and motor impairments, activity limitations and participation restrictions of patients with neurological disorders.
Make use of the more standardised scales utilised in neurology.
Perform a medical records that allows:
- Planning an individualised treatment for neurological patients according to their developmental stage
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- Establishing short and long term objectives - Assessing the evolution
Get used to assessments that have been done by other specialists within the Neurorehabilitation team.
Skills
Develop critical thinking and reasoning and communicate ideas effectively, both in the mother tongue and in other languages.
Develop independent learning strategies Display critical reasoning skills.
Evaluate the functional state of the patient, considering the physical, psychological and social aspects.
Integrate, through clinical experience, the ethical and professional values, knowledge, skills and attitudes of physiotherapy, in order to resolve specific clinical cases in the hospital and non-hospital environments, and primary and community care.
Make a physiotherapy diagnosis applying internationally recognised norms and validation instruments.
Solve problems.
Work in teams.
Learning outcomes
Describe and apply advanced evaluation procedures in physiotherapy in order to determine the degree of damage to the nervous system and possible functional repercussions.
Develop critical thinking and reasoning and communicate ideas effectively, both in the mother tongue and in other languages.
Develop independent learning strategies Display critical reasoning skills.
Establish a diagnostic physiotherapy hypothesis based on complex clinical cases in neurological pathologies.
Solve complex clinical cases in the field of neurology.
Solve problems.
Work in teams.
Content
1. CIF Model and medical records in neurological physiotherapy.
Beatriz Hernández Méndez; Laura Arévalo Barrios 2. Exploration: general and health conditions.
Beatriz Hernández Méndez; Laura Arévalo Barrios
3. Core assessement, balance, gait, upper extremity, peripheral nervous system and pain.
Beatriz Hernández Méndez; Laura Arévalo Barrios 4. Standardised Scales.
Beatriz Hernández Méndez; Laura Arévalo Barrios 5. Transdisciplinary assessment in neurorehabilitation.
Álvaro Pérez Muñoz; Gemma Puigfel Dalmau; Núria Sanz Raguer 6. Clinical Case Studies.
Beatriz Hernández Méndez; Laura Arévalo Barrios; Roberta Ghedina 7. Papers Review.
Beatriz Hernández Méndez; Laura Arévalo Barrios
Methodology
The teaching is based on theoretical and practical classes.
Activities
Title Hours ECTS Learning outcomes
Type: Directed
LABORATORY PRACTICES (PLAB) 20 0.8 6, 1, 2, 5, 4, 7
THEORY (TE) 21 0.84 6, 1, 3, 2, 5, 4, 7, 8
Type: Supervised
PRESENTATION / ORAL PRESENTATION PAPERS 2 0.08 6, 1, 2, 5, 4, 7, 8
Type: Autonomous
PERSONAL STUDY 60 2.4 6, 1, 3, 2, 5, 4, 7
READING ARTICLES / REPORTS OF INTEREST 25 1 6, 1, 3, 2, 5, 4, 7
WRITING PAPERS 18 0.72 6, 1, 2, 5, 4, 7, 8
Evaluation
The evaluation system will be:
Written evaluation through objective tests of selection of multiple-choice items:
2 exams one hour each.
30 questions test with four possible answers, only one will be correct.
Each correct answer add 1 point and each wrong subtracts 0.25 points 40% of the overall mark
Practical evaluation through objective structured assessment:
Practical application and reasoning of different rating scales.
Duration: 15 minutes.
35% of the overall mark.
Oral evaluation through structured tests:
Oral presentation with audiovisual material of an neurological article using assessment scales applied in a clinical trial.
Reasoning of the scales used and proposed other scales that could be used.
Duration: 15 minutes 15% of the overall mark.
Delivery reports / written work:
Drafting of a clinical records and planningtreatment goals by observing a real clinical case.
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10% of the overallmark.
To pass the course must meet the following conditions:
Pass every single part of the contents with a score ≥5, except the delivery report which there is no minimum score.
In case of not passing a single part of the contents average won't be made, even though students who have not passed the subject/module through continuous assessment may take a final exam or a final test synthesis. Except the delivery report, which will do average whatever the note.
It is compulsory to attend the practicalclasses. You may miss 30% of the classes though proof of reason for absence will be required.
The following rules are considered the guidelinesto obtain a "not evaluable" qualification:
Not attending any of the assessment tests Missing more than 30% of practical classes The same evaluation criteria are applied for exchange students.
Evaluation activities
Title Weighting Hours ECTS Learning
outcomes
Delivery reports / written work 10% 1.5 0.06 6, 1, 3, 2, 5, 4,
7, 8
Oral evaluation through structured tests 15% 0.25 0.01 6, 1, 2, 5, 4, 7,
8
Practical evaluation through objective structured assessment 35% 0.25 0.01 6, 1, 2, 5, 4, 7
Written evaluation through objective tests of selection of multiple-choice items
40% 2 0.08 6, 1, 3, 2, 5, 4, 7
Bibliography
Bisbe, M; Santoyo, C; Segarra V. Fisioterapia en Neurología: Procedimientos para restablecer la capacidad funcional. Madrid: Panamericana, 2012.
Butler D. Movilización del sistema nervioso. Barcelona: Paidotribo, 2002.
Cano, R; Collado, S. Neurorrehabilitación: Métodos específicos de valoración y tratamiento. Madrid:
Panamericana, 2012.
Junqué, C; Barroso, J. Manual de Neuropsicología. Madrid: Síntesis, 2009.
Kandel, E; Schuwartz, J; Jessell, T. Principios de Neurociencia. Madrid: McGraw-Hill Interamericana, 2001.
Miralles, R. Biomecánica Clínica del Aparato Locomotor. 1ª ed. Barcelona: Masson, 1998.
Paeth, B. Experiencias con el Concepto Bobath: fundamentos, tratamientos y casos. 2ª ed. Madrid:
Panamericana, 2006.
Perfetti, C. Ejercicio Terapéutico Cognoscitivo para la Reeducación Motora del Hemipléjico Adulto.
Barcelona: Edikamed, 1998.
Perry J. Gait Analysis. Normal and pathological function. USA: Slack; 1992.
Sallés L, et al. Organización motora del córtex cerebral y el papel del sistema de las neuronas espejo.
Repercusiones clínicas para la rehabilitación. Med Clin (Barc), 2014.
Shumway-Cook, A; Woollacott, M. Motor Control: Translating Research into Clinical Practice, 4th ed.
Lippincott Williams & Wilkins, 2012.
Serra Catafau, J. Tratado de Dolor Neuropático. 1ª ed. Madrid: Panamericana, 2007.
Shacklock, M. Neurodinámica Clinica. España: Elsevier, 2007.
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Shacklock, M. Neurodinámica Clinica. España: Elsevier, 2007.
Stokes, M. Fisioterapia en la Rehabilitación Neurológica. 2ª ed. Madrid: Elsevier, 2006.
Tutusaus, R; Potau J.M. Sistema Fascial: Anatomía, valoración y tratamiento. Madrid: Panamericana, 2015.
Velasco M, et al. Abordaje Clínico de la Disfagia Orofaríngea:diagnóstico y tratamiento. Nutr clín Med.2007;1(3)174-202.
Vendrell JM. Las Afasias: semiología y tipos clínicos. Rev Neurol. 2001;32(10):980-6.
World Health Organization. Clasificación Internacional del Funcionamiento, de la Discapacidad y de laSalud: CIF. Ministerio de Trabajo y Asuntos Sociales, Secretaría General de Asuntos Sociales, Instituto de Migraciones y Servicios Sociales (IMSERSO), 2001.
Zamorano, E. Movilización Neuromeníngea: tratamiento de los trastornos mecanosensitivos del sistema nervioso. Madrid: Panamericana, 2013.
More literature in class.
